title: Physical activity stage-matched intervention: Promoting metabolic control in type 2 diabetes.
abstract: BACKGROUND
  Regular physical activity has an important role in reducing cardiovascular risk factors and improving metabolic control in patients with type 2 diabetes. This study aims to investigate the effect of physical activity stage-matched intervention on metabolic control in type 2 diabetes patients.
  
  
  METHODS
  An 8-week physical activity program conducted with 50 type 2 diabetes females who were physically inactive and in precontemplation, contemplation, and preparation stages of change. Participants were divided into intervention and control groups (each group, n = 25). Data were collected by physical activity stage of change questionnaire and metabolic factors were measured by laboratory tests before initiation program. Subsequently, stage-matched physical activity program was conducted for the interventional group. Control group received routine education from the diabetes center. After 8 weeks, physical activity questionnaire filled out by participants and metabolic factors were evaluated by a laboratory test.
  
  
  RESULTS
  Findings showed patients in the intervention group and compared with control group significantly moved through stages of change after physical activity program (P-value < 0.05). Evaluation of physical activity after educational program demonstrated that the intervention group adopted regular physical activity more than the control group and also the difference between groups was significant (P-value < 0.05). Our findings indicate a significant relationship between physical activity level and moving in stages of change in the intervention group (P-value < 0.05). Comparison of metabolism factors after physical activity program showed significant decrease in glycosilated hemoglobin in the intervention group than the control group (P-value < 0.05). However, significant differences between groups were not observed in other metabolism factors.
  
  
  CONCLUSIONS
  Designing and implementing physical activity stage-matched intervention can improve metabolic control and management of type 2 diabetes.
authors.affiliation: Department of public Health, Faculty of Health, Ilam University of Medical Science, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Jalilian
authors.forename: Babak
authors.initials: B
authors.lastname: Moeini
authors.forename: Seyed Mohammad Mehdi
authors.initials: SM
authors.lastname: Hazavehei
authors.forename: Abbas M
authors.initials: AM
authors.lastname: Beigi
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Sharifirad
authors.forename: Farhad Habibi
authors.initials: FH
authors.lastname: Nodeh
keywords: Metabolic control; physical activity; stage of change; type 2 diabetes